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- Dahlin, Y, et al.
(författare)
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Patients' experiences of physical therapy within palliative cancer care
- 2009
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Ingår i: Journal of palliative care. - : SAGE Publications. - 0825-8597 .- 2369-5293. ; 25:1, s. 12-20
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Tidskriftsartikel (refereegranskat)abstract
- Few studies have analyzed patients’ experiences of physical therapy within palliative cancer care. Objective: To describe how patients with incurable cancer experience physical therapy. Method: Seventeen patients were interviewed. Data was analyzed according to a contextual analysis within a phenomenographic approach. Result: Two aspects were identified: “clear and satisfactory” and “unclear and unsatisfactory”. Descriptive categories were: “participation”, “motivation and encouragement”, “independence”, “relief and well-being”, “security and hope”, “unclear part of the care”, and “insufficient number of interventions”. “Participation” was a core category interrelated with patient satisfaction. Conclusion: Physical therapy was important: it enabled independence, provided relief from distressing symptoms, and offered support. However, communication and coordination within the palliative care team has to improve if it is to minimize the negative impact of symptom distress on patient well-being and quality of life. Also, physical therapists must develop strategies for patient empowerment and methods for assessing and evaluating qualitative aspects of physical therapy in palliative cancer care.
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| 4. |
- Heiwe, S, et al.
(författare)
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Evidence-based practice among Swedish medical social workers
- 2013
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Ingår i: Social work in health care. - : Routledge. - 0098-1389 .- 1541-034X. ; 52:10, s. 947-958
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Tidskriftsartikel (refereegranskat)abstract
- We have explored Swedish medical social workers' attitudes, beliefs, knowledge, and behavior concerning evidence-based practice (EBP) and investigated the properties of a questionnaire to measure EBP. One hundred seventy-four Swedish medical social workers within university hospital care and primary care participated in a cross-sectional survey. Our results showed positive attitudes toward EBP and the use of evidence to support clinical decision making. EBP was seen as necessary and something that needed to be implemented more often. The main barriers to implementing EBP were lack of time (78%), the perception that EBP does not take into account the limitations of the clinical practice setting (78%), and lack of knowledge about relevant research (46%).
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| 9. |
- Heiwe, S, et al.
(författare)
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Twelve weeks of exercise training increases muscle function and walking capacity in elderly predialysis patients and healthy subjects
- 2001
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Ingår i: Nephron. - : S. Karger AG. - 1660-8151 .- 2235-3186. ; 88:1, s. 48-56
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Tidskriftsartikel (refereegranskat)abstract
- Muscle function declines with age and progressive uraemia. We examined whether elderly predialysis patients could improve thigh muscle function, walking capacity, and functional mobility to the same extent as elderly healthy subjects when participating in 12 weeks of individual muscle endurance exercises for the thigh as well as in a low-intensive group programme. The uraemic exercise and comparison groups comprised 16 patients (age 76 ± 7 years, glomerular filtration rate 18 ± 5 ml/min) and 9 patients (age 72 ± 6 years, glomerular filtration rate 16 ± 5 ml/min), respectively. The healthy exercise and comparison groups comprised 18 subjects (age 75 ± 7 years) and 5 subjects (age 79 ± 4 years), respectively. Muscular strength, dynamic endurance, walking capacity, and functional mobility increased significantly in both the uraemic and the healthy exercise groups after 12 weeks of regular muscle endurance exercise training, whereas there was no significant change in static muscle endurance and quality of life in either group. None of the values changed for the uraemic comparison group nor the healthy comparison group during the observation period. Elderly predialysis patients had lower muscle function and mobility as compared with elderly healthy subjects, but were able to improve both after 12 weeks of exercise training to the same extent as elderly healthy subjects.
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| 10. |
- Lind, CS, et al.
(författare)
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Quantification of Trapezius Muscle Innervation During Neck Dissections: Cervical Plexus Versus the Spinal Accessory Nerve
- 2015
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Ingår i: The Annals of otology, rhinology, and laryngology. - : SAGE Publications. - 0003-4894 .- 1943-572X. ; 124:11, s. 881-885
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Tidskriftsartikel (refereegranskat)abstract
- Despite increasing use of selective, nerve-sparing surgical techniques during neck dissections, the reported rate of postoperative paralysis of the trapezius muscle is still high. The aim of the study is to measure and compare motor inflow to the trapezius muscle, in order to better understand the peripheral neuroanatomy. Methods: Intraoperative nerve monitoring (electroneurography) in patients undergoing routine neck dissection (n = 18). The innervation of the 3 functional parts of the trapezius muscle was mapped and quantified through compound muscle action potentials. Results: In 18/18 (100%) of the patients, the spinal accessory nerve (SAN) innervated all parts of the trapezius muscle. In 7/18 (39%) of the patients, an active motor branch from the cervical plexus was detected, equally distributed to all functional parts of the trapezius muscle, at levels comparable to the SAN. Conclusions: Compared to the SAN, branches from cervical plexus provide a significant amount of neural input to all parts of the trapezius muscle. Intraoperative nerve monitoring can be used in routine neck dissections to detect these branches, which may be important following surgical injury to the SAN.
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